2026-05-12T10:02:27+00:00 2025-06-30 440160260 Forvis Mazars LLP PO Box 3667 Little Rock AR 722033667 990 2024-07-01 716044543 JOHN ED CHAMBERS MEMORIAL HOSPITAL INC JOHN 4794952241 PO BOX 639 Danville AR 728330639 SCOTT PEEK CEO 4794952241 2026-05-12 true true Amber Sherrill P00748683 5013721040 2026-05-12 2024 2025-03-06 01:10:19Z SCOTT PEEK PO BOX 639 Danville AR 728330639 23464571 false X WWW.CHAMBERSHOSPITAL.COM X 1998 AR IT IS THE GOAL OF CHAMBERS MEMORIAL HOSPITAL TO PROVIDE QUALITY HEALTHCARE SERVICES IN A COST-EFFECTIVE MANNER THAT MEETS THE NEEDS & EXPECTATIONS OF PATIENTS & COMMUNITIES. 7 7 321 7 0 0 337446 362938 23418865 22415334 327454 322216 251336 263582 24335101 23364070 0 0 0 0 13556054 13823419 0 0 0 10330069 10737735 23886123 24561154 448978 -1197084 34263488 31939229 7665958 6538783 26597530 25400446 IT IS THE GOAL OF CHAMBERS MEMORIAL HOSPITAL TO PROVIDE QUALITY HEALTHCARE SERVICES IN A COST-EFFECTIVE MANNER THAT MEETS THE NEEDS AND EXPECTATIONS OF PATIENTS AND THE COMMUNITIES SERVED false false 19726267 0 22415334 IT IS THE GOAL OF CHAMBERS MEMORIAL HOSPITAL TO PROVIDE QUALITY HEALTHCARE SERVICES IN A COST-EFFECTIVE MANNER THAT MEETS THE NEED AND EXPECTATIONS OF PATIENTS AND THE COMMUNITIES SERVED. 19726267 true true false true false false false false false false true false false false true false true false false false false false false false true false true true false false true true false false false false false false false false false false false false false false false false false false false false true 36 0 true 321 true false false false false false false false false false false false false X 7 7 false false false false false false false true true false false false true true true true false true true true false false X MICHAELLE CORNWELL 4794956219 719 DETROIT AVENUE DANVILLE AR 728330639 DAVID FISHER VICE CHAIRMAN 1.0 0.0 X X 0 0 0 JOHNNY CHAMBERS CHAIRMAN 1.0 0.0 X X 0 0 0 ROBERT REDFERN SECRETARY 1.0 0.0 X X 0 0 0 PHILLIP ALEXANDER DIRECTOR 1.0 0.0 X 0 0 0 RITCHIE TIPPIN DIRECTOR 1.0 0.0 X 0 0 0 TODD SANDERS DIRECTOR 1.0 0.0 X 0 0 0 TOMMY PAPASAN DIRECTOR 1.0 0.0 X 0 0 0 MICHAELLE CORNWELL CFO 40.0 0.0 X 106317 0 14300 SCOTT PEEK CEO 40.0 0.0 X 334778 0 25300 FREDERICK PERKINS JR PHYSICIAN - DO 40.0 0.0 X 367745 0 45465 JOHN WESTWOOD PHYSICIAN - MD 32.0 0.0 X 113380 0 7440 KARL SANDBERG PHYSICIAN - MD 32.0 0.0 X 188437 0 8379 STEPHEN LUKER PHYSICIAN - DO THROUGH 05/17/2025 32.0 0.0 X 207288 0 20388 WILLIAM L BERRY PHYSICIAN - MD 32.0 0.0 X 218637 0 22768 1536582 0 144040 19 false true false EMERGENCY STAFFING SOLUTIONS 17304 PRESTON RD SUITE 1400 DALLAS TX 75252 PHYSICIAN STAFFING 1505664 SIGNET HEALTH CORPORATION PO BOX 670697 DALLAS TX 752670697 BHU HEALTH MGMT 521737 RIVER RIDGE RX INC PO BOX 394 DANVILLE AR 72833 PHARMACY SERVICES 324300 RURAL ANESTHESIA SERVICES LLC 1100 S VANCOUVER AVE RUSSELLVILLE AR 72801 ANESTHESIA SERVICES 322935 FORVIS MAZARS PO BOX 200870 DALLAS TX 753200870 ACCOUNTING SERVICES 179998 9 25513 101811 235614 362938 PATIENT SERVICES 622110 21149855 21149855 340B REVENUE 622110 948066 948066 MANAGED CARE FEES 622110 307383 307383 MEDICAL OFFICE BUILDING RENT 531120 10030 10030 0 0 0 0 22415334 322216 322216 0 0 0 0 22137 25513 24081 -1944 -1944 99981 76420 23561 23561 CAFETERIA REVENUE 722310 234160 234160 VENDING MACHINE INCOME 900099 2442 2442 5363 0 0 5363 241965 23364070 22415334 0 585798 X 0 0 471499 471499 11256588 8631105 2625483 341494 261844 79650 930860 713747 217113 822978 631027 191951 1500 1150 350 101960 78179 23781 4291651 4124797 166854 0 44378 34027 10351 230431 176685 53746 20383 15629 4754 329482 252634 76848 126174 96745 29429 305316 234104 71212 1516709 1162952 353757 300013 230038 69975 OPERATING SUPPLIES 1446379 1446379 PROVIDER ASSESSMENT TAX 359256 359256 EQUIPMENT EXPENSE 348042 266865 81177 REPAIRS & MAINTENANCE 321969 246873 75096 994092 762231 231861 0 24561154 19726267 4834887 0 1035467 710332 9343804 9501390 0 0 4875756 3827250 0 0 0 0 0 0 309269 317194 40226 130731 44114490 26780181 18523202 17334309 0 0 0 0 0 0 135764 118023 34263488 31939229 1429416 1286440 0 0 0 0 6147075 5200301 0 0 0 0 31059 10353 0 0 58408 41689 7665958 6538783 X 26597530 25400446 0 0 0 0 0 0 0 0 26597530 25400446 34263488 31939229 -1197084 0 X false true true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 2217 2217 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY CHAMBERS MEMORIAL HOSPITAL PAID DUES OF $ 11,668 TO THE ARKANSAS HOSPITAL ASSOCIATION OF WHICH $ 2,217 (19%) WAS RELATED TO LOBBYING. 1229124 1229124 26234079 19162741 7071338 675649 228297 447352 15799118 7389143 8409975 176520 0 176520 17334309 Federal Income Taxes Lease Liability 41689 41689 23464571 100501 100501 23364070 0 0 23364070 24661655 100501 100501 24561154 0 0 24561154 Schedule D, Part X, Line 2 MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL INCOME TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 Fundraising Expense - 24081 COGS - 76420 Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 Fundraising Expense - 24081 COGS - 76420 GOLF TOURNAMENT 47650 25513 22137 20826 1944 1311 0 0 47650 25513 22137 20826 1944 1311 24081 -1944 true true X true X 110 true X 464874 464874 0.01893 2733351 2122121 611230 0.02489 0 0.0 0 0 3198225 2122121 1076104 0.04381 0 0.0 0 0.0 4381413 2810879 1570534 0.06394 0 0.0 0 0.0 0 0 4381413 2810879 1570534 0.06394 0 0 7579638 4933000 2646638 0.10776 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 6683185 4920153 1763032 X true true 1 1 CHAMBERS MEMORIAL HOSPITAL 719 DETROIT AVE DANVILLE AR 728330639 WWW.CHAMBERSHOSPITAL.COM AR4825 X X X CHAMBERS MEMORIAL HOSPITAL 1 false false true X X X X X X X X X 24 true false false true X https://chambershospital.com/community-health-needs-assessment/ X true 24 true https://chambershospital.com/community-health-needs-assessment/ false true X 110.0 200.0 X X X X true true X X X true X https://chambershospital.com/financial-assistance/ X https://chambershospital.com/financial-assistance/ X https://chambershospital.com/financial-assistance/ X X X X X X X true X false X X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - CHAMBERS MEMORIAL HOSPITAL. Dialogues with key interviewees were conducted March 2025 through April 2025. Interviewees were determined based on their specialized knowledge or expertise in public health or their involvement with underserved and minority populations. Interviews were conducted via telephone or email, whichever was more convenient for the interviewee. All interviews were conducted by Forvis Mazars personnel using a standard questionnaire. A copy of the interview instrument is included in the appendix. A summary of their opinions is reported without judging the truthfulness or accuracy of their remarks. Community leaders provided comments on the following issues: - Health and quality of life for residents of the primary community - Barriers to improving health and quality of life for residents of the primary community - Opinions regarding the important health issues that affect community residents and the types of services that are important for addressing these issues - Delineation of the most important healthcare issues or services discussed and actions necessary for addressing those issues Interview data was initially recorded in both written and narrative form. Themes in the data were identified and representative quotes have been drawn from the data to illustrate the themes. Interviewees were assured that personal identifiers such as name or organizational affiliations would not be connected in any way to the information presented in this report. This technique does not provide a quantitative analysis of the leaders' opinions but reveals community input for some of the factors affecting the views and sentiments about overall health and quality of life within the community. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - CHAMBERS MEMORIAL HOSPITAL. IN THE MOST CURRENTLY ADOPTED CHNA, THERE WERE FOUR NEEDS CONSISTENTLY RAISED DURING INTERVIEWS. THE FOLLOWING IS CHAMBERS MEMORIAL HOSPITAL'S IMPLEMENTATION PLAN THAT WILL BE USED TO ADRESS THESE PRIORITIZED NEEDS: 1. Community Health and Wellness Education - Ads and Facebook posts directly addressing community health and wellness education such as information on colorectal, prostate and breast cancer, women and men's health, diabetes, preventative care. - Health Fairs or community events with health and wellness educational pamphlets provided. - In person help setting up patient portals at health fairs. - Health and Wellness information provided at County Fair Booth and community events. 2. Access to Primary Care - Health Fair targeting those without primary care. - Contact information for providers and help scheduling initial appointments with providers at health fairs. - Facebook posts directing underserved individuals to primary care providers. - Educational booth at Yell County Fair with handouts addressing primary care providers and how to set up an appointment. - The Hospital will continue to recruit primary care providers to the area. 3. Access to Mental Health Resources - Engage in Senior Care Alliance to support strategies related to Mental Health for Older Adult population. - Utilize public information channels such as social media to inform community of available mental health resources and educate on the connection of mental health to topics such as substance use, bullying, and work-related stress. - Provide mental health first aid training to community gate keepers such as teachers, police officers, faith leaders, coaches, and business owners. - Utilize social media to encourage open conversation to reduce mental health stigma. - Provide education materials to community organizations to be provided to families. 4. Obesity - Basic exercise routines provided to promote a healthy lifestyle offered at health fairs and community events. - Information on nutrition provided at health fairs and community events. - Ads targeting healthy living. - Promoting or sponsoring a run or physical exercise event promoting a healthy diet and regular exercise. - Collaboration with Hospital Nutritionist and Healthy Active Yell on a flyer promoting a healthy diet. Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - CHAMBERS MEMORIAL HOSPITAL. ALL PATIENTS WILL BE OFFERED, AS PART OF THE REGISTRATION AND/OR DISCHARGE PROCESS, A COPY OF THE PLAIN LANGUAGE SUMMARY OF THIS POLICY. ADDITIONALLY, ALL PATIENTS IDENTIFIED AS POTENTIAL FINANCIAL ASSISTANCE RECIPIENTS OR ANYONE REQUESTING FINANCIAL ASSISTANCE WILL BE OFFERED THE OPPORTUNITY TO APPLY FOR FINANCIAL ASSISTANCE. IF THIS EVALUATION IS NOT CONDUCTED UNTIL AFTER THE PATIENT LEAVES THE FACILITY, OR IN CASE OF OUTPATIENTS OR EMERGENCY PATIENTS, THE FINANCIAL COUNSELOR WILL MAIL A FINANCIAL ASSISTANCE APPLICATION TO THE PATIENT FOR COMPLETION. IN ADDITION, THE HOSPITAL WILL PROVIDE A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY TO THE PATIENT WITH ALL BILLING STATEMENTS AND COMMUNICATIONS WITHIN THE FIRST 120 DAYS FOLLOWING THE FIRST BILLING STATEMENT. Schedule H, Part V, Section B, Line 20 Facility , 1 Facility , 1 - CHAMBERS MEMORIAL HOSPITAL. INFORMATION REGARDING THE FINANCIAL ASSISTANCE POLICY WILL BE PROVIDED ON MONTHLY BILLING STATEMENTS AS WELL AS EFFORTS TO CONTACT THE PATIENT OR RESPONSIBLE PARTY VIA TELEPHONE. CHAMBERS MEMORIAL HOSPITAL WILL PROVIDE PATIENTS OR OTHER PARTIES RESPONSIBLE FOR PAYMENT OF THE ACCOUNT WITH A NOTICE, A MINIMUM OF 30 DAYS IN ADVANCE OF INITIATING ANY EXTRAORDINARY COLLECTION ACTIVITIES. 6 CHAMBERS MEMORIAL CLINIC 719 DETROIT AVENUE DANVILLE AR 72833 FAMILY CLINIC SCENIC 7 MEDICAL CLINIC 402 SOUTH SCENIC 7 DRIVE OLA AR 72853 FAMILY CLINIC WESTERN YELL COUNTY MEDICAL CLINIC 301 WEST BROADWAY HAVANA AR 72842 FAMILY CLINIC PLAINVIEW MEDICAL CLINIC 102 NORTH GARFIELD AVENUE PLAINVIEW AR 72857 FAMILY CLINIC CHAMBERS MEMORIAL HOME HEALTH AGENCY 719 DETROIT AVENUE DANVILLE AR 72833 HOME HEALTH OUTPATIENT INFUSION CENTER 719 DETROIT AVENUE DANVILLE AR 72833 INFUSION CENTER Schedule H, Part I, Line 3c PLEASE REFER TO THE FINANCIAL ASSISTANCE POLICY OR SCHEDULE H, PART V, LINES 13 THROUGH 16 FOR ADDITIONAL INFORMATION ON THE FAP. Schedule H, Part III LINES 2 & 3 ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED NCOLLECTIBLE DEDUCTIBLES AND CO-PAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDE BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND CO-PAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED OR PROVIDED BY POLICY) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance CHAMBERS MEMORIAL HOSPITAL USES THE MEDICARE COST REPORT COST TO CHARGE RATIO METHODOLOGY. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote PLEASE SEE ATTACHED AUDIT REPORT NOTE 1. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance PATIENTS ARE INFORMED OF CHARITY CARE PROGRAM UPON ADMISSION AND DISCHARGE. THE PLAIN LANGUAGE SUMMARY OF THE FAP IS INCLUDED IN THE REGISTRATION PACKET. ALL PATIENTS IDENTIFIED AS POTENTIAL FINANCIAL ASSISTANCE RECIPIENTS OR ANYONE REQUESTING FINANCIAL ASSISTANCE WILL BE OFFERED THE OPPORTUNITY TO APPLY FOR FINANCIAL ASSISTANCE. THE FINANCIAL COUNSELOR WILL MAIL A FINANCIAL ASSISTANCE APPLICATION TO THE PATIENT AND INFORMATION REGARDING THE FAP WILL BE MADE AVAILABLE WITH ALL BILLING STATEMENTS AND COMMUNICATIONS WITHIN THE FIRST 120 DAYS FOLLOWING THE FIRST BILLING STATEMENT. Schedule H, Part V, Section B, Line 16a FAP website - CHAMBERS MEMORIAL HOSPITAL: Line 16a URL: https://chambershospital.com/financial-assistance/; Schedule H, Part V, Section B, Line 16b FAP Application website - CHAMBERS MEMORIAL HOSPITAL: Line 16b URL: https://chambershospital.com/financial-assistance/; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - CHAMBERS MEMORIAL HOSPITAL: Line 16c URL: https://chambershospital.com/financial-assistance/; Schedule H, Part VI, Line 2 Needs assessment IN ADDITION TO ANY HEALTH NEEDS REPORTED ON PART V, SECTION B, THE HOSPITAL UTILIZES THE 'COUNTY HEALTH RANKINGS' MODEL TO WEIGH THE HEALTH FACTORS NEEDS TO THE COMMUNITIES IT SERVES. THE MODEL PROVIDES A RANKING METHOD THAT RANKS ALL 50 STATES AND THE COUNTIES WITHIN EACH STATE BASED ON TWO TYPES OF HEALTH OUTCOMES FOR EACH COUNTY: MORTALITY AND MORBIDITY. COUNTIES ARE RANKED RELATIVE TO THE HEALTH OF OTHER COUNTIES IN THE STATES. AS PART OF THE ANALYSIS OF THE CHNA FOR THE COMMUNITY, THE RELATIVE HEALTH STATUS FOR YELL COUNTY WILL BE COMPARED TO THE STATE OF ARKANSAS AS WELL AS TO THE NATIONAL BENCHMARK. A BETTER UNDERSTANDING OF THE FACTORS THAT AFFECT THE HEALTH OF THE COMMUNITY WILL ASSIST WITH HOW TO IMPROVE THE COMMUNITY'S HABITS, CULTURE, AND ENVIRONMENT. YELL COUNTY FELL WITHIN THE LOWER 50TH PERCENTILE OF THE 75 COUNTIES IN ARKANSAS. THE HEALTH NEEDS ARE SIMILAR TO THE NEEDS ADDRESSED IN THE CHNA AND VOICED BY THE INTERVIEWS CONDUCTED. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance ALL PATIENTS WILL BE OFFERED, AS PART OF THE REGISTRATION AND/OR DISCHARGE PROCESS, A COPY OF THE PLAIN LANGUAGE SUMMARY OF THIS POLICY. ADDITIONALLY, ALL PATIENTS IDENTIFIED AS POTENTIAL FINANCIAL ASSISTANCE RECIPIENTS OR ANYONE REQUESTING FINANCIAL ASSISTANCE WILL BE OFFERED THE OPPORTUNITY TO APPLY FOR FINANCIAL ASSISTANCE. IF THIS EVALUATION IS NOT CONDUCTED UNTIL AFTER THE PATIENT LEAVES THE FACILITY, OR IN CASE OF OUTPATIENTS OR EMERGENCY PATIENTS, THE FINANCIAL COUNSELOR WILL MAIL A FINANCIAL ASSISTANCE APPLICATION TO THE PATIENT FOR COMPLETION. IN ADDITION, THE HOSPITAL WILL PROVIDE A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY TO THE PATIENT WITH ALL BILLING STATEMENTS AND COMMUNICATIONS WITHIN THE FIRST 120 DAYS FOLLOWING THE FIRST BILLING STATEMENT. IN ADDITION, PATIENTS WILL BE CONTACTED VIA TELEPHONE. Schedule H, Part VI, Line 4 Community information The community served by the Hospital is a rural area in central western Arkansas. The Hospital is located in Danville, Arkansas, which is the second-largest town in the community with a population of around 2,000 people. The population of the community is about 78% white, making it more racially homogenous than either the state of Arkansas (73%) or the United States (66%) as a whole. Most of the remaining population is Hispanic or Latino. According to the U.S. Census Bureau, about 18% of the community's population is over age 65, which is higher than in Arkansas (17%) and in the United States (17%) as a whole. This should be considered as this age group uses more health services than any other. Factors such as educational attainment, poverty level, unemployment rate, and insurance coverage contribute significantly to the health status of a community. Approximately 13% of the community's population age 25 years or older has obtained a bachelor's degree or higher compared to about 25% of Arkansas and about 34% of the United States. About 23% of the community's population does not have a high school diploma compared to about 12% of Arkansas and about 11% of the country as a whole. Lower levels of educational attainment have been linked to negative health outcomes, so this is relevant to the consideration of the health needs of the community. The income levels of individuals within the community also have a significant effect on their ability to access health services. THE MEDIAN HOUSEHOLD INCOME IN YELL COUNTY IS $55,879, COMPARED TO $56,335 FOR THE STATE OF ARKANSAS AND $75,149 FOR THE UNITED STATES. LOWER THAN MEDIAN HOUSEHOLD INCOME SUGGESTS THAT MANY MEMBERS OF THE COMMUNITY MAY HAVE DIFFICULTY OBTAINING HEALTH CARE, ESPECIALLY PREVENTATIVE CARE. ADDITIONALLY, WHILE SIMILAR TO THE STATE OF ARKANSAS, THE LEVELS OF POVERTY IN YELL COUNTY ARE SIGNIFICANTLY HIGHER THAN THE RATES IN THE UNITED STATES. Schedule H, Part VI, Line 5 Promotion of community health THE HOSPITAL AND OTHER HEALTH CARE FACILITIES FURTHER THEIR EXEMPT PURPOSE BY PROMOTING HEALTH CARE INITIATIVES IN THE COMMUNITIES SERVED. THE HOSPITAL IS INVOLVED WITH LOCAL SCHOOL DISTRICTS, HEALTH DEPARTMENTS, CHURCHES AND FAITH-BASED ORGANIZATIONS, SENIOR CITIZEN CENTERS, AND OTHER ORGANIZATIONS TO HELP PROMOTE HEALTH EDUCATION. A FEW EVENTS IN WHICH THE HOSPITAL IS INVOLVED IN INCLUDES CAR SEAT SAFETY, HEALTH FAIRS, YELL COUNTY FAIR, FARM SAFETY, AND OTHER LOCAL EVENTS THAT WILL HELP THE HOSPITAL DISTRIBUTE HEALTH KNOWLEDGE. X false true X X X false false false false false false false false false SCOTT PEEK CEO 324778 0 10000 0 0 0 13731 0 11569 0 360078 0 0 0 FREDERICK PERKINS JR PHYSICIAN - DO 367745 0 0 0 0 0 30801 0 14664 0 413210 0 0 0 KARL SANDBERG PHYSICIAN - MD 188437 0 0 0 0 0 7562 0 817 0 196816 0 0 0 STEPHEN LUKER PHYSICIAN - DO THROUGH 05/17/2025 207288 0 0 0 0 0 8819 0 11569 0 227676 0 0 0 WILLIAM L BERRY PHYSICIAN - MD 218637 0 0 0 0 0 9104 0 13664 0 241405 0 0 0 Schedule J, Part I, Line 1a Health or social club dues or initiation fees ALL MONTHLY DUES FOR CHAMBERLYNE COUNTRY CLUB ARE PAID FOR THE CEO AND CFO. FOR ALL OTHERS WE PAY HALF AND THEY PAYROLL DEDUCT THE OTHER HALF BASED ON THE TYPE OF MEMBERSHIP THEY HAVE. THE AMOUNTS ARE NOT INCLUDED IN W-2 WAGES AS THE MEMBERSHIP IS ONLY USED FOR BUSINESS PURPOSES AND ANY INCIDENTAL EXPENSES ARE PAID OUT OF POCKET BY THE INDIVIDUAL. A YELL COUNTY ARKANSAS 710420105 98544NAA4 2006-11-14 9900000 CONSTRUCTION & IMPROVEMENT BONDS false false false A 5516605 0 9900000 0 0 0 67850 0 0 0 9773228 58922 2009 false false true true A false false false false false false 0.0 0.0 0.0 false false 0 false false A false false false true false false 0 false false false 0 false false false A false Schedule K, Part IV, Line 2c BOND SERIES 2006 A&B IS COMPLETED ON BOND YEAR OF 10/31/2021. Schedule K, Part I, Column (f) DESCRIPTION OF PURPOSE ISSUER NAME: YELL COUNTY, ARKANSAS CONSTRUCTION & IMPROVEMENT BONDS Schedule K, Part IV, Line 2c COLUMN A Issuer name: YELL COUNTY, ARKANSAS The calculation for computing no rebate due was performed on 10/31/2021 Form 990, Part VI, Line 15 A&B THIS REVIEW IS DONE ANNUALLY AT THE CEO'S ANNIVERSARY DATE BY THE BOARD OF DIRECTORS. THIS WOULD HAVE BEEN DONE IN MARCH OF 2025. THE CEO PERFORMS EVALUATIONS AND COMPENSATION REVIEWS AT THE ANNIVERSARY DATE OF EACH DEPARTMENT HEAD. THEY ARE PERFORMED YEARLY. Form 990, Part VI, Line 11b Review of form 990 by governing body THE CEO AND CFO REVIEW THE FORM 990 BEFORE IT IS FILED. THE FORM 990 IS EMAILED TO THE BOARD OF DIRECTORS BEFORE FILING. THE BOARD OF DIRECTORS REVIEW THE FORM 990 AT THE FOLLOWING BOARD MEETING. Form 990, Part VI, Line 12c Conflict of interest policy OFFICERS AND BOARD MEMBERS MUST SIGN ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENTS CERTIFYING THAT NEITHER THEY NOR THEIR IMMEDIATE FAMILY MEMBERS USE ANY INFORMATION RELATING TO THE BUSINESS OF THE HOSPITAL FOR THE PERSONAL PROFIT OR ADVANTAGE OF THEMSELVES OR THEIR FAMILY MEMBERS AND DISCLOSE ANY POTENTIAL CONFLICTS. IF A CONFLICT SHOULD ARISE, BOARD MEMBERS MUST WITHDRAW FROM VOTING DECISIONS INVOLVING THE CONFLICT. EMPLOYEES OF THE HOSPITAL ARE TO AVOID ANY ACTUAL OR PERCEIVED CONFLICT OF INTEREST BETWEEN RESPONSIBILITIES AS AN EMPLOYEE AND ANY OUTSIDE INTEREST. EMPLOYEES OF THE HOSPITAL SHALL NOT ENGAGE IN ANY OUTSIDE EMPLOYMENT OR COMMERCIAL INTERESTS THAT MIGHT INTERFERE WITHOUT ABILITY TO PROPERLY PERFORM DUTIES AS A HOSPITAL EMPLOYEE. THIS WOULD INCLUDE BEING AN OFFICER, DIRECTOR, MANAGER OR CONSULTANT OF A POTENTIAL COMPETITOR, CUSTOMER, OR SUPPLIER OF THE HOSPITAL. BUSINESS DEALINGS WITH ANY FIRM IN WHICH THERE IS A FAMILY RELATIONSHIP, OR HIRING AND/OR HAVING A REPORTING RELATIONSHIP WITH RELATIVES MAY CONSTITUTE A CONFLICT OF INTEREST, AND ARE TO BE AVOIDED. THE HOSPITAL HAS A COMPLIANCE COMMITTEE THAT MONITORS FOR POLICY COMPLIANCE AND RECOMMENDS CHANGES OR NEW POLICIES TO THE CEO FOR APPROVAL. Form 990, Part VI, Line 19 Required documents available to the public NO DOCUMENTS ARE AVAILABLE TO THE PUBLIC. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Miscellaneous income - Total Revenue: 5363, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 5363; Form 990, Part IX, Line 11g Other Fees Emergency Room Services - Total Expense: 1507365, Program Service Expense: 1507365, Management and General Expenses: 0, Fundraising Expenses: 0; Anesthesiology Services - Total Expense: 325020, Program Service Expense: 325020, Management and General Expenses: 0, Fundraising Expenses: 0; Pharmacy Services - Total Expense: 280500, Program Service Expense: 280500, Management and General Expenses: 0, Fundraising Expenses: 0; Admin & Office Supplies - Total Expense: 448606, Program Service Expense: 343973, Management and General Expenses: 104633, Fundraising Expenses: 0; Physical Therapy - Total Expense: 158693, Program Service Expense: 158693, Management and General Expenses: 0, Fundraising Expenses: 0; Lab & XRAY - Total Expense: 65263, Program Service Expense: 65263, Management and General Expenses: 0, Fundraising Expenses: 0; Speech Therapy Services - Total Expense: 183397, Program Service Expense: 183397, Management and General Expenses: 0, Fundraising Expenses: 0; Occupational Therapy - Total Expense: 349576, Program Service Expense: 349576, Management and General Expenses: 0, Fundraising Expenses: 0; Respiratory Care - Total Expense: 50775, Program Service Expense: 50775, Management and General Expenses: 0, Fundraising Expenses: 0; Nursing - Total Expense: 119992, Program Service Expense: 119992, Management and General Expenses: 0, Fundraising Expenses: 0; Psych - Total Expense: 535696, Program Service Expense: 535696, Management and General Expenses: 0, Fundraising Expenses: 0; Other Purchased Services - Total Expense: 266768, Program Service Expense: 204547, Management and General Expenses: 62221, Fundraising Expenses: 0; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ;